Dr. Shanice Shamela Kuloba, DDS
Dentist, General Practice in Orlando, FL. Individual provider (NPI-1).
NPI number1144787367
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1144787367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shanice Shamela Kuloba
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2019
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN24937 | FL | Yes |
Practice location
905 E Michigan StOrlando, FL 32806-4702
Phone 407-843-4091
Mailing address
905 E Michigan StOrlando, FL 32806-4702
Phone 407-843-4091
Is something wrong?
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